Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.68 / $911.27 / $7,920.26	Facility		$790.68	$911.27	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $474.77 / $970.02	Professional		$312.95	$474.77	$970.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.20 / $723.05 / $1,108.44	Professional		$418.20	$723.05	$1,108.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.01 / $873.12 / $1,009.99	Professional		$724.01	$873.12	$1,009.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.25 / $665.28 / $935.00	Facility		$412.25	$665.28	$935.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $571.88 / $665.02 / $1,046.66	Professional		$571.88	$665.02	$1,046.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.75 / $713.95 / $828.12	Facility		$483.75	$713.95	$828.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $656.27 / $1,044.31	Facility		$423.40	$656.27	$1,044.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $634.24 / $784.97 / $1,069.14	Professional		$634.24	$784.97	$1,069.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $647.77 / $819.80 / $1,030.29	Facility		$647.77	$819.80	$1,030.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $670.99 / $900.33 / $1,162.79	Professional		$670.99	$900.33	$1,162.79
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $761.76 / $1,190.56	Professional		$540.96	$761.76	$1,190.56